| NPI | 1265798276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN MARY MICEK Office Manager 310-370-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A22054) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |